Hospice Nurse Practitioner

Company:

Providence at Home with Compassus

 

Position Summary 

Make a lasting impact by joining Providence at Home with Compassus, leaders in home-based hospice and palliative care. We’re seeking a compassionate and experienced Nurse Practitioner to provide essential support to patients and families across various care settings, including homes, long-term care facilities, and hospitals. The Hospice and Palliative Care Nurse Practitioner (NP) functions independently as an advanced nursing professional and has responsibility to coordinate and assess care needs, create and modify the plan of care, make appropriate referrals for patients in collaboration with the hospice and palliative care interdisciplinary team. The Nurse Practitioner works in conjunction with the interdisciplinary team to complete all regulatory requirements such as provider face 2 face, end of life visits, and assessments for re-certification. The NP, under direct physician order or by physician approved protocols and within their scope of practice may independently order opioids, adjusting dosages and change other drugs, as patient condition requires. Other responsibilities include on call coverage rotation with the other providers. In addition to the clinical duties, the NP is a primary link and resource to patients, families, and staff for education related to hospice and palliative care. They maintain schedules and productivity standards, document and maintain data on all patients referred and seen, and participate in quality improvement activities as it relates to hospice and palliative care. 

 
Position Specific Responsibilities 

• Complies with organization-wide specific policies and procedures, including working knowledge of policies, reference to policies as needed and consistent compliance with same. 
• Complies with patient care requirements of all regulatory agencies including working knowledge of policies as needed and compliance with same. 
• Actively creates an environment of safe delivery of patient care and functions with a constant awareness of safety issues identified including immediately correcting/reporting any unsafe conditions found. 
• Under required physician supervision independently conducts a thorough medical, functional, and psychosocial assessment on assigned patients; performs and interprets diagnostic tests and procedures as defined by protocol; assesses whether patient’s condition requires the immediate attention of the physician. 
• Provides appropriate medical intervention when needed, initiates and alters certain drug therapies, and writes orders according to established protocols approved by the physician or direct physician orders. 
• Performs Face 2 Face, End of Life, and recertification assessment visits. 
• Collaborates with other members of the health team in providing continuity of care to meet the unique needs of the patient; provides patient information to the physician. 
• Assists the physician by ordering drugs and supplies, keeping records, as defined by protocol. 
• Participates in documenting notes in the clinical medical record. 
• Participates in interdisciplinary team meetings, recommends course of treatment and monitors ongoing care. 
• Provides liaison and information to physicians, discharge planning, and other departments regarding quality of care issues. 
• Recommends appropriate action based on the patient’s condition. 
• Under direct physician order or by physician approved protocols independently order IV therapy, including antibiotics and opioids, altering dosages and changing to other drugs, as patient condition requires. 
• Furnishes medications per standardized procedures including medications available under Providence St. 
• Josephs Health formulary or those medications usually prescribed by specialty physicians. 
• Ordering feedings and placement/replacement of nasogastric or replacement of gastric tube, adjusting rate and formula based on patient’s needs, as determined by nutritional need and/or swallowing capabilities. 
• Assists family and patients regarding decisions including goals and values, withdrawal and withholding of interventions, non-beneficial interventions and resuscitation status. 
• Educates the patient and family regarding diagnosis of medical condition and prognosis. 
• Assists in the referral of patients to appropriate health facilities and community resources. 
• Provides education to nursing staff/nursing facility departments, and family members regarding the special needs of the patient and elderly population. 
• Establishes and maintains courteous cooperative relations with the public, patients and other personnel. 
• Participates in the development and implementation of education based on evidence based practices. 
• Performs other duties as required. 
• Dem